Episode 156: PREMIUM Injecting common sense into painful problems

In episode 156, Mike and James inject a large dose of therapeutics into yet another PREMIUM podcast. We discuss steroid injections for trochanteric pain and which pain medication is safer for long-term use in osteoarthritis. At the end James and Mike offer to send the listeners lidocaine to dull the pain associated with listening to their latest offerings.

Show notes

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Comments

Osteoarthritis and NSAIDs

Would you strongly encourage an elderly patient to take a PPI if prescribing a NSAID for OA? Was this accounted for in the cohort trial?

H.pylori testing in this situation

Wondering what you think about H.pylori testing for patients you are putting on NSAIDs for OA. Would you test everyone? Just patients with an ulcer history who haven't had eradication previously?

If it is recommended, when would/should it be done (pre-prescribing? after you have determined that the NSAID is actually beneficial?)

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